TWI381845B - Composition for the prevention and treatment of Helicobacter pylori infection - Google Patents
Composition for the prevention and treatment of Helicobacter pylori infection Download PDFInfo
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Description
本發明係關於一種以非抗生素方式預防和治療幽門螺旋桿菌感染的組成物,特別是關於一種包括兒茶素及唾液酸之成分以預防和治療幽門螺旋桿菌感染之組成物。The present invention relates to a composition for preventing and treating Helicobacter pylori infection in a non-antibiotic manner, and more particularly to a composition comprising catechin and sialic acid for preventing and treating Helicobacter pylori infection.
幽門螺旋桿菌(Helicobacter pylori )常與B型慢性胃炎(chronic active B gastritis)、消化性潰瘍(peptic ulcers)、胃癌(gastric cancer)及胃黏膜相關淋巴組織淋巴瘤(gastric mucosa-associated lymphoid tissue lymphoma)有關。目前來說,幽門螺旋桿菌之感染可選擇以一種結合質子幫浦阻斷劑(proton pump inhibitor)及抗生素(antibiotics)之一週療程進行治療。然而,由於幽門螺旋桿菌對於前述部份藥物之抗藥性增加,導致對於部分患者的治療成效不彰。在初步治療失敗後,通常建議以第二線治療,包括三重或四重的組合療法為主。 Helicobacter pylori is often associated with chronic active B gastritis, peptic ulcers, gastric cancer, and gastric mucosa-associated lymphoid tissue lymphoma. related. Currently, infection with H. pylori can be treated with a one-week treatment combined with a proton pump inhibitor and antibiotics. However, due to the increased resistance of H. pylori to some of the aforementioned drugs, the treatment of some patients is not effective. After initial treatment failure, second-line therapy, including triple or quadruple combination therapy, is usually recommended.
幽門螺旋桿菌感染的第一步驟為穿透黏液(mucin)及透過某些不同的黏著分子(adhesion molecules)貼附於胃上皮細胞(gastric epithelial cells)。在體外實驗(in vitro)中,抗吸附療法(antiadhesive therapy)常使用3’-唾液乳糖(3’-sialyllactose),其係為一種寡糖型之唾液酸(sialic acid)以預防幽門螺旋桿菌結合於胃腸道上皮細胞,並於獼猴(Rhesus monkey)的動物實驗中可減少幽門螺旋桿菌之附生(colonization)且不具副作用。通常幽門螺旋桿菌貼附在胃黏膜(gastric mucosa)後,會經由氧化壓力(Oxidative Stress)、細胞凋亡I型或自體吞噬II型程序性死亡傳遞路徑損害胃上皮細胞。The first step in Helicobacter pylori infection is to penetrate the mucin and attach it to gastric epithelial cells through some different adhesion molecules. In vitro, anti-adhesive therapy often uses 3'-sialyllactose, which is an oligosaccharide-type sialic acid to prevent H. pylori binding. In the gastrointestinal epithelial cells, and in the animal experiments of rhesus monkeys, the colonization of H. pylori can be reduced without side effects. Usually, after H. pylori is attached to the gastric mucosa, gastric epithelial cells are damaged via Oxidative Stress, Apoptosis Type I or autophagy type II programmed death pathway.
兒茶素(Catechins)屬於多酚(polyphenol)中黃烷醇(Flavanol)群的一種,又稱茶單寧,兒茶酚,是茶葉中黃烷醇類物質的總稱,兒茶素是茶多酚中最重要的一種,約佔茶多酚含量的75%到80%。兒茶素之衍生物主要分為四種:表兒茶酚(epicatechin EC)、表沒食子兒茶酚(epigallocatechin EGC)、表兒茶酚沒食子酸(epicatechin gallate ECG)和表沒食子兒茶酚沒食子酸(epigallocatechin gallate EGCG)。兒茶素及其衍生物表沒食子兒茶素沒食子酸脂(EGCG)具有抗氧化、抗發炎、抗細胞凋亡及預防癌症之作用。另外,兒茶素及EGCG更具有對抗食物源性病菌,以及藉由抑制幽門螺旋桿菌之尿素酵素(urease)及細胞空泡毒素(vacuolating cytotoxin A;VacA)、細胞毒素相關蛋白A(cytotoxin A)以達到抗幽門螺旋桿菌效果。Catechins belong to the group of Flavanol in polyphenols, also known as tea tannins, catechins, which are the general term for the flavanols in tea. The catechins are more tea. The most important one of the phenols accounts for about 75% to 80% of the tea polyphenol content. The derivatives of catechins are mainly divided into four types: epicatechin EC, epigallocatechin EGC, epicatechin gallate ECG, and table eclipse. Epigallocatechin gallate EGCG. Catechin and its derivatives Epigallocatechin gallate (EGCG) has antioxidant, anti-inflammatory, anti-apoptotic and cancer-preventing effects. In addition, catechins and EGCG are more resistant to food-borne pathogens, and by inhibiting Helicobacter pylori urease and vacuolating cytotoxin A (VacA), cytotoxin A (cytotoxin A) To achieve anti-Helicobacter pylori effect.
現今對於幽門螺旋桿菌的抗生素療法中,雖然大多時候是有效的,但有時會因病菌抗藥性及服藥低依從性的關係而失敗。因此利用以非抗生素方式治療幽門螺旋桿菌感染具有其迫切的需要性。In today's antibiotic therapy for Helicobacter pylori, although it is effective most of the time, it sometimes fails due to the relationship between the resistance of the bacteria and the low compliance of the medication. Therefore, the use of non-antibiotics for the treatment of H. pylori infection has its urgent need.
某些菌種如乳酸桿菌(Lactobacillus )及雙叉乳酸桿菌(Bifidobacterium )皆具有抑制幽門螺旋桿菌的作用,然而從臨床實驗中可知,此種益生菌(probiotics)的療法並無法完全根除幽門螺旋桿菌。另外,也可利用疫苗預防性或治療性地施用於對抗幽門螺旋桿菌之感染,但從其相關之小鼠實驗結果顯示,雖可明顯地降低幽門螺旋桿菌的量,但仍無法完全根除,對於預防感染的效果也有限。Some strains such as Lactobacillus and Bifidobacterium have the effect of inhibiting H. pylori. However, it is known from clinical trials that the treatment of probiotics does not completely eradicate H. pylori. . In addition, the vaccine can also be administered prophylactically or therapeutically to the infection against H. pylori, but the results of the related mouse experiments show that although the amount of H. pylori can be significantly reduced, it cannot be completely eradicated. The effect of preventing infection is also limited.
尚有某些非抗生素成分可抑制幽門螺旋桿菌生長,例如黏附分子受器擷抗劑(adhesion receptor antagonist)類之3’-唾液乳糖(3’-sialyllactose)、抗氧化物類例如綠茶兒茶素(tea catechins)具有較為可信的功效性。然而,此種效果僅止於體外實驗(in vitro)的情況,在體內實驗(in vivo)的情況下若單獨使用唾液乳糖或是兒茶素皆無法完全控制抑制幽門螺旋桿菌生長的效果。There are certain non-antibiotic components that inhibit the growth of H. pylori, such as 3'-sialyllactose, an antioxidant molecule such as green tea catechin, which is an adhesion receptor antagonist. (tea catechins) has more credible efficacy. However, this effect only ends in the case of in vitro, and in the case of in vivo, the use of sialyllose or catechin alone cannot completely control the effect of inhibiting the growth of H. pylori.
這些關於兒茶素及3’-唾液乳糖抑制制幽門螺旋桿菌之作用的研究報告僅屬於個別使用時的結果,目前來說,以兒茶素及3’-唾液乳糖合併治療幽門螺旋桿菌感染的效果仍屬未知。These studies on the role of catechins and 3'-sialyl lactose inhibition in the development of Helicobacter pylori are only the result of individual use. Currently, catechin and 3'-sialyl lactose are combined to treat H. pylori infection. The effect is still unknown.
由於目前使用之藥物及方法仍無法解決幽門螺旋桿菌抗藥性增加的問題。因此,除了以抗生素的方式治療幽門螺旋桿菌感染外,急需一種可降低幽門螺旋桿菌感染之組成物或兼具預防及治療作用之混合成分。Due to the currently used drugs and methods, the problem of increased resistance of H. pylori cannot be solved. Therefore, in addition to the treatment of Helicobacter pylori infection by antibiotics, there is an urgent need for a composition which can reduce the infection of H. pylori or a combination of both preventive and therapeutic effects.
緣此,本發明之一目的即是提供一種預防幽門螺旋桿菌感染的組成物,包括:至少0.128wt‰之一兒茶素(catechin)或其衍生物;至少0.032wt‰之一唾液酸(silialic acid);及水。其中各成分之重量百分比係基於組成物之總重量。Accordingly, it is an object of the present invention to provide a composition for preventing H. pylori infection comprising: at least 0.128 wt% of one of catechin or a derivative thereof; at least 0.032 wt of one of sialic acid (silialic) Acid); and water. The weight percentage of each component is based on the total weight of the composition.
本發明之另一目的即是提供一種治療幽門螺旋桿菌感染之組成物,包括:0.128wt‰至0.64wt‰之一兒茶素(catechin)或其衍生物;0.032wt‰至0.16wt‰之一唾液酸(silialic acid);及水。其中各成分之重量百分比係基於組成物之總重量。以干擾並降低或清除幽門螺旋桿菌感染,亦即阻礙幽門螺旋桿菌與胃上皮細胞作用,同時可以殺死細菌但不會影響胃上皮細胞。Another object of the present invention is to provide a composition for treating H. pylori infection comprising: 0.128 wt ‰ to 0.64 wt ‰ one of catechin or a derivative thereof; and one of 0.032 wt ‰ to 0.16 wt ‰ Silialic acid; and water. The weight percentage of each component is based on the total weight of the composition. To interfere with and reduce or eliminate H. pylori infection, that is, to block the action of Helicobacter pylori and gastric epithelial cells, while killing bacteria but not affecting gastric epithelial cells.
本發明為解決與降低幽門螺旋桿菌感染問題所採用之技術手段係合併運用抗吸附(anti-adhesion)成份、抗幽門螺旋桿菌(anti-bacteria)成份與抗氧化成份(antioxidant),如唾液酸(sialic acid)與綠茶萃取物-兒茶素(catechin)或其衍生物,可以產生保護功能對抗幽門螺旋桿菌所誘發之胃損傷。此種作用主要是經由降低細胞中O2 - 、H2 O2 、NO之生成量及誘導型一氧化氮合成酶(iNOS)之表現量,增加細胞之抗氧化活性,以及透過細胞自噬(autophagy)與細胞凋亡(apoptosis)之雙向調節所致。尤其在結合唾液酸與綠茶萃取物-兒茶素後,可以上調保護存活之細胞自噬路徑並降低幽門螺旋桿菌所誘發之胃損傷細胞凋亡之傷害。經由一系列體內及體外實驗結果證實,同時利用兒茶素及唾液酸之成分可預防和治療幽門螺旋桿菌感染The invention adopts the technical means for solving the problem of reducing H. pylori infection, and adopts anti-adhesion components, anti-bacteria components and antioxidants, such as sialic acid (such as sialic acid). Sialic acid and the green tea extract, catechin or its derivatives, can produce protective functions against gastric damage induced by Helicobacter pylori. This effect is mainly through reducing the amount of O 2 - , H 2 O 2 , NO produced in cells and the expression of inducible nitric oxide synthase (iNOS), increasing the antioxidant activity of cells, and through autophagy ( Autophagy) and bidirectional regulation of apoptosis (apoptosis). Especially after combining sialic acid and green tea extract-catechin, it can up-regulate the path of autophagy that protects the living cells and reduce the damage of gastric damage induced by Helicobacter pylori. Through a series of in vivo and in vitro experiments, it is confirmed that the use of catechin and sialic acid can prevent and treat Helicobacter pylori infection.
經由本發明所採用之技術手段,可有效地降低幽門螺旋桿菌造成胃表皮細胞受傷與減輕胃發炎現象,在預防上具有可達100%的完全抑制作用,而在治療上也可達60%的抑制效果。此兩種主要成分皆可由天然食品中得到,可經由簡便的管道取得及攝取富含唾液酸與綠茶萃取物之食品,進而達到預防或治療胃部因幽門螺旋桿菌感染所造成之症狀。Through the technical means adopted by the invention, the Helicobacter pylori can effectively reduce the injury of gastric epithelial cells and alleviate the phenomenon of gastric inflammation, and can achieve complete inhibition of up to 100% in prevention, and can reach 60% in treatment. Inhibitory effect. Both of these main ingredients can be obtained from natural foods, and can be obtained through a simple pipeline and ingested foods rich in sialic acid and green tea extracts to prevent or treat symptoms caused by Helicobacter pylori infection in the stomach.
本發明之成份之一為兒茶素或其衍生物。兒茶素或其衍生物為一表沒食子兒茶素沒食子酸酯(epigallocatechin gallate EGCG)、一表兒茶素沒食子酸(epicatechin gallate ECG)、一没食子兒茶素沒食子酸酯(Gallocatechin gallate GCG)、一表沒食子兒茶素(epicatechin EC)、一表沒食子兒茶素(epigallocatechin EGC)、一表兒茶素(gallocatechin GC)、及其任意組合。One of the ingredients of the present invention is catechin or a derivative thereof. The catechin or its derivative is epigallocatechin gallate (EGCG), epicatechin gallate (ECG), and a gallic catechin. Acidic acid gallate (Gallocatechin gallate GCG), an epicatechin EC, epigallocatechin EGC, gallocatechin GC, and any combination thereof.
本發明所使用的「唾液酸(Sialic acid)」為一種天然存在的9-碳單糖衍生物,學名為「N-乙醯基神經氨酸」,由於其為負電荷離子,可使唾液產生光滑感覺。The "Sialic acid" used in the present invention is a naturally occurring 9-carbon monosaccharide derivative known by the name "N-acetylthioneine", which can be used as a negatively charged ion to make saliva. Produces a smooth feel.
以下將配合圖式進一步說明本發明的實施方式,下述所列舉的實施例係用以闡明本發明,並非用以限定本發明之範圍,任何熟習此技藝者,在不脫離本發明之精神和範圍內,當可做些許更動與潤飾,因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。The embodiments of the present invention are further described in the following description, and the embodiments of the present invention are set forth to illustrate the present invention, and are not intended to limit the scope of the present invention. In the scope of the invention, the scope of protection of the invention is defined by the scope of the appended claims.
本發明實施例中使用的統計分析,在此利用計分檢定(Score test)及二項檢定(binomial test)顯示出在各組間結合使用兒茶素/唾液酸抗幽門螺旋桿菌效果的顯著差異性。在細胞培養之實驗中,利用單因子變異數分析(One-way ANOVA)及多變域顯著性測驗(Duncan’s Multiple Range test)來檢定各組間獨立樣本其組間差異之顯著性。而在動物模型之實驗中,以克魯斯凱-沃利斯檢驗(Kruskal-Wallis test)、單因子變異數分析(One-way ANOVA)及鄧恩多重比較法(Dunnett's multiple comparison)來檢定各組獨立樣本其組間差異之顯著性。應用羅吉斯迴歸(Logistic Regression)以顯示在抗菌率方面之劑量效果。而P-value<0.05則被認為具有統計上的意義。The statistical analysis used in the examples of the present invention, here using the score test and the binomial test, showed significant differences in the effect of combining catechin/sialic acid against Helicobacter pylori in each group. Sex. In cell culture experiments, one-way ANOVA and Duncan's Multiple Range test were used to characterize the significance of differences between groups in independent samples between groups. In the animal model experiment, the Kruskal-Wallis test, One-way ANOVA and Dunnett's multiple comparison were used to verify each. The significance of the difference between the groups in the independent samples. Logistic Regression was applied to show the dose effect in terms of antimicrobial rate. P-value <0.05 is considered to be statistically significant.
本發明實施例係為了方便說明而舉例,但非對本案之發明有所限制。於以下實施例中,除非特別說明,所有的用量、份量或百分比皆是基於總重量或總量計算。The embodiments of the present invention are exemplified for convenience of description, but are not limited to the invention of the present invention. In the following examples, all amounts, parts, or percentages are based on total weight or total amount unless otherwise stated.
實施例中所使用的幽門螺旋桿菌包括標準菌株ATCC 43504及20種臨床分離株(TA1-TA20)。在此使用的臨床分離株係由患有胃炎或消化性潰瘍病患之胃部切片所取得。The H. pylori used in the examples includes the standard strain ATCC 43504 and 20 clinical isolates (TA1-TA20). The clinical isolates used herein were obtained from gastric sections of patients with gastritis or peptic ulcer.
去咖啡因之綠茶萃取物係購自Vigour Biochemistry公司,包括328mg/g的表沒食子兒茶素沒食子酸酯(epigallocatechin gallate EGCG)、152mg/g的表兒茶素沒食子酸(epicatechin gallate ECG)、148mg/g的没食子兒茶素沒食子酸酯(Gallocatechin gallate GCG)、132mg/g的表沒食子兒茶素(epicatechin EC)、108mg/g的表沒食子兒茶素(epigallocatechin EGC)、104mg/g的表兒茶素(gallocatechin GC)及44mg/g的兒茶素(catechin)。唾液酸係購自Sigma公司。The decaffeinated green tea extract was purchased from Vigour Biochemistry, including 328 mg/g epigallocatechin gallate EGCG and 152 mg/g epicatechin gallic acid ( Epicatechin gallate ECG), 148 mg/g gallocatechin gallate GCG, 132 mg/g epicatechin EC, 108 mg/g epigal tea Epigallocatechin EGC, 104 mg/g of epicatechin GC and 44 mg/g of catechin. The sialic acid was purchased from Sigma.
首先,進行兒茶素及唾液酸對於各種幽門螺旋桿菌株之抗幽門螺旋桿菌效果之體外試驗。將20種待測試的菌株保存於-80℃,並在微嗜氧性環境(5% O2 ,10% CO2 ,85% N2 )下37℃下3天的時間進行回復,再以10mL的Brucella broth重新懸浮24小時直到到達在450nm下具有0.5unit的光學密度(對應於約109 CFU/L)。兒茶素及唾液酸之最小抑制濃度(MIC)係以瓊脂稀釋法(Agar dilution method)所決定。結合使用兒茶素及唾液酸之效果以棋盤法(checkerboard method)決定,並以分量抑制濃度指數(fractional inhibitory concentration index FIC)進行評估。First, an in vitro test of catechin and sialic acid against various Helicobacter pylori strains against H. pylori was performed. The 20 strains to be tested were stored at -80 ° C and recovered in a micro-aerobic environment (5% O 2 , 10% CO 2 , 85% N 2 ) at 37 ° C for 3 days, then 10 mL. The Brucella broth was resuspended for 24 hours until it reached an optical density of 0.5 unit at 450 nm (corresponding to about 10 9 CFU/L). The minimum inhibitory concentration (MIC) of catechin and sialic acid is determined by the Agar dilution method. The effect of combining catechin and sialic acid was determined by the checkerboard method and evaluated by fractional inhibitory concentration index (FIC).
結果參閱表1,其顯示兒茶素及唾液酸對於20種幽門螺旋桿菌株之抗幽門螺旋桿菌效果之體外試驗結果。求得最小抑制濃度(MIC)的方法如前所述。結果如表1所示,兒茶素對於90%的分離菌株之最小抑制濃度(MIC90 )係為256mg/L。而從結果可知,單獨使用唾液酸則不具任何抗幽門螺旋桿菌效果。The results are shown in Table 1, which shows the results of in vitro tests of catechin and sialic acid against the anti-Helicobacter pylori effect of 20 Helicobacter pylori strains. The method for obtaining the minimum inhibitory concentration (MIC) is as described above. The results are shown in Table 1. The minimum inhibitory concentration (MIC 90 ) of catechin for 90% of the isolated strains was 256 mg/L. From the results, it can be seen that the use of sialic acid alone does not have any anti-Helicobacter pylori effect.
接著,同樣以20種菌株進行兒茶素及唾液酸結合之體外抗幽門螺旋桿菌活性測試。結果參閱表2,其顯示結合使用兒茶素及唾液酸對於幽門螺旋桿菌株之抗菌效果。其中求得分量抑制濃度指數(FIC)的方法如前所述。如表2所示,同時使用兒茶素及唾液酸對於所有幽門螺旋桿菌之臨床分離株都有效果,分別為具有累加作用(additive effect)或協同作用(synergistic effect)。從結果中可看出唾液酸增強了兒茶素的抗菌效果。另外由棋盤法的結果可知(圖未示),在體外實驗中同時以128mg/L的兒茶素及32mg/L的唾液酸可完全抑制所有臨床分離株的生長,無論為抗生素敏感或抗藥型的菌株結果皆相同。Next, catechin and sialic acid-binding in vitro anti-Helicobacter pylori activity tests were also carried out using 20 strains. The results are shown in Table 2, which shows the antibacterial effect of the combined use of catechin and sialic acid on the Helicobacter pylori strain. The method for determining the score inhibition concentration index (FIC) is as described above. As shown in Table 2, the simultaneous use of catechin and sialic acid has an effect on all clinical isolates of Helicobacter pylori, with an additive effect or a synergistic effect, respectively. It can be seen from the results that sialic acid enhances the antibacterial effect of catechin. In addition, as a result of the checkerboard method (not shown), in vitro experiments with 128mg/L catechin and 32mg/L sialic acid can completely inhibit the growth of all clinical isolates, whether antibiotic sensitive or resistant The strains of the type were all the same.
利用一種細胞毒素相關基因A-(Cytotoxin-Associated Gene A)-/細胞空泡毒素A(Vacuolating cytotoxin A)-陽性之幽門螺旋桿菌菌種(TA1),在含有5%綿羊血的哥倫比亞瓊脂平皿中,以微嗜氧性環境下37℃下3天的時間自冷凍狀態(-80℃)回復。人類胃癌細胞ATCC CRL 1739(AGS細胞)係以RPMI 1640培養基(Invitrogen)加上10%的胎牛血清(FBS)。為了同時培養幽門螺旋桿菌及AGS細胞,將菌體重新懸浮於PBS達到OD450 為1unit,對應於菌體濃度約為2 x 1011 CFU/L,並加入含有幽門螺旋桿菌與AGS細胞之比例為100:1之孔盤中,並在含/不含128mg/L之兒茶素及/或32mg/L的唾液酸之條件下共同培養4小時。Using a Cytotoxin-Associated Gene A-/Vacuolating cytotoxin A-positive H. pylori strain (TA1) in a Colombian agar plate containing 5% sheep blood It was recovered from the frozen state (-80 ° C) at a temperature of 37 ° C for 3 days in a micro aerobic environment. Human gastric cancer cells ATCC CRL 1739 (AGS cells) were supplemented with 10% fetal bovine serum (FBS) in RPMI 1640 medium (Invitrogen). In order to simultaneously culture H. pylori and AGS cells, the cells were resuspended in PBS to an OD 450 of 1 unit, corresponding to a bacterial concentration of about 2 x 10 11 CFU/L, and the ratio of H. pylori to AGS cells was added. The cells were co-cultured for 4 hours in a 100:1 well plate with or without 128 mg/L catechin and/or 32 mg/L sialic acid.
一氧化氮(NO)濃度的量測係以NO化學冷光探針及化學冷光分析系統(CLD-110,Tohoku Electronic)測量。另一方面,為了量測O2 - 及H2 O2 的濃度,利用0.2mL培養樣本及顯光劑(0.1mmol/L之lucigenin或0.2mmol/L之luminol)加入PBS(pH 7.4)進行化學冷光法,該試驗以三重複進行並以每10秒計數化學冷光強度。The measurement of the concentration of nitric oxide (NO) was measured by a NO chemical luminescence probe and a chemical luminescence analysis system (CLD-110, Tohoku Electronic). On the other hand, in order to measure the concentration of O 2 - and H 2 O 2 , chemistry was carried out by adding 0.2 mL of the culture sample and a sensitizing agent (0.1 mmol/L of lucigenin or 0.2 mmol/L of luminol) to PBS (pH 7.4). In the cold light method, the test was performed in three repetitions and the chemical luminescence intensity was counted every 10 seconds.
利用西方墨點法,將以不同條件處理4小時後的細胞,萃取其蛋白質,以10%聚丙烯醯胺凝膠進行SDS-PAGE電泳分析,並以半乾式轉印系統(Hoeffer Phamacia Biotech)轉印到PVDF(polyvinylidine difluoride)膜上,再將PVDF膜浸於含有5%牛奶的PBS中2小時(室溫下),再置於含有抗iNOS(inducible NO synthase,Chemicon)之抗體、抗Bax之抗體、抗Bcl-2之抗體、抗caspase 3之抗體、抗poly-(ADP-ribose)-polymerase之抗體(以上皆購自cell signaling Technology)或抗Beclin-1(BD Biosciences)之抗體之浸泡液中1小時,以清洗液清洗3次之後,以含有HRP標記羊抗兔免疫球蛋白IgG抗體(Pierce)之封閉液(blocking buffer)處理1小時,以ECL液(Amersham Biosciences)進行顯色,並曝光於X光片下。Using Western blotting method, cells treated under different conditions for 4 hours, extracted their proteins, analyzed by SDS-PAGE electrophoresis on a 10% polyacrylamide gel, and transferred to a semi-dry transfer system (Hoeffer Phamacia Biotech). It was printed on a PVDF (polyvinylidine difluoride) membrane, and the PVDF membrane was immersed in PBS containing 5% milk for 2 hours (at room temperature), and then placed in an antibody containing anti-iNOS (inducible NO synthase, Chemicon) and anti-Bax. Soaking solution of antibody, anti-Bcl-2 antibody, anti-caspase 3 antibody, anti-poly-(ADP-ribose)-polymerase antibody (all purchased from cell signaling Technology) or anti-Beclin-1 (BD Biosciences) antibody After washing for 3 times with a washing solution for 1 hour, it was treated with a blocking buffer containing HRP-labeled goat anti-rabbit immunoglobulin IgG antibody (Pierce) for 1 hour, and developed with ECL solution (Amersham Biosciences), and Exposure to X-ray film.
參閱第1A~1D圖,係分別顯示AGS細胞在感染幽門螺旋桿菌(HP)4小時後,使用兒茶素(C)及唾液酸(S)的情況下,O2 - 、H2 O2 、NO及iNOS的生成量變化,其中第1D圖同時包括西方墨點法的結果。由先前研究可知,感染幽門螺旋桿菌可造成DNA傷害並使活性氧化物(ROS)生成量增加及誘導型一氧化氮合成酶(iNOS)表現量增加,可藉此觀察細胞中的抗氧化活性。而結果如第1圖所示,在感染幽門螺旋桿菌(HP)後,O2 - 、H2 O2 及NO的生成量增加,以及iNOS的表現量也增加。此種作用從感染幽門螺旋桿菌1小時後一直持續到4小時左右,而當同時使用兒茶素及唾液酸時,此種活性氧化物(ROS)生成量增加及誘導型一氧化氮合成酶(iNOS)表現量增加的情形則明顯地受到抑制。上述結果顯示出,使用兒茶素(C)及唾液酸(S)後,可促進細胞的抗氧化作用。Referring to Figures 1A to 1D, O 2 - , H 2 O 2 , in the case of AGS cells infected with Helicobacter pylori (HP) for 4 hours, using catechin (C) and sialic acid (S), The amount of NO and iNOS produced varies, and the 1D map also includes the results of the Western blot method. It can be seen from previous studies that infection with H. pylori can cause DNA damage and increase the production of active oxides (ROS) and the expression of inducible nitric oxide synthase (iNOS), thereby observing the antioxidant activity in cells. As a result, as shown in Fig. 1, after infection with Helicobacter pylori (HP), the production of O 2 - , H 2 O 2 and NO increased, and the expression of iNOS also increased. This effect lasts from about 1 hour after infection with H. pylori to about 4 hours, and when catechin and sialic acid are used simultaneously, the amount of active oxide (ROS) is increased and inducible nitric oxide synthase ( The situation in which iNOS) increased in performance was significantly suppressed. The above results show that the use of catechin (C) and sialic acid (S) promotes the antioxidant action of cells.
參閱第2A~2B圖,係分別顯示AGS細胞在感染幽門螺旋桿菌(HP)4小時後,使用兒茶素(C)及唾液酸(S)的情況下,細胞凋亡相關蛋白質的表現情形,其電泳分析條件如前所述。其中Bax、Bcl-2、CPP32及PARP皆為與進行細胞凋亡有關之蛋白質,在此主要觀察Bax及Bcl-2兩者的比例以作為指標。如第2A、2B圖所示,AGS細胞在感染幽門螺旋桿菌後使Bax之表現量增加,而Bcl-2之表現量降低,顯示感染幽門螺旋桿菌後Bax:Bcl-2的比值增加,使AGS細胞發生細胞凋亡的情形增加。而在使用兒茶素及唾液酸後,使受感染之AGS細胞之Bax之表現降低,而Bcl-2之表現增加,顯示使用兒茶素及唾液酸後可使AGS細胞發生細胞凋亡的情形減少。另外,受感染之AGS細胞之CPP32(即caspase 3)及PARP(即poly-(ADP-ribose)-polymerase)之表現量也在同時使用兒茶素及唾液酸後明顯地受到抑制。其顯示出經兒茶素及唾液酸處理後之AGS細胞凋亡減少。Refer to Figures 2A to 2B, which show the expression of apoptosis-related proteins in the case of AGS cells infected with Helicobacter pylori (HP) for 4 hours, using catechin (C) and sialic acid (S). The electrophoresis analysis conditions are as described above. Among them, Bax, Bcl-2, CPP32 and PARP are proteins related to apoptosis, and the ratio of both Bax and Bcl-2 is mainly observed as an index. As shown in Figures 2A and 2B, AGS cells increased the expression of Bax after infection with H. pylori, while the expression of Bcl-2 decreased, indicating that the ratio of Bax:Bcl-2 increased after infection with H. pylori, making AGS The situation in which cells undergo apoptosis is increased. After the use of catechin and sialic acid, the performance of Bax in infected AGS cells was decreased, and the expression of Bcl-2 was increased, indicating that AGS cells can be apoptotic after using catechin and sialic acid. cut back. In addition, the expression levels of CPP32 (i.e., caspase 3) and PARP (i.e., poly-(ADP-ribose)-polymerase) of infected AGS cells were significantly inhibited after the simultaneous use of catechin and sialic acid. It showed a decrease in apoptosis of AGS cells after catechin and sialic acid treatment.
參閱第3圖,係顯示AGS細胞在感染幽門螺旋桿菌(HP)4小時後,使用兒茶素(C)及唾液酸(S)的情況下,細胞自噬相關蛋白Beclin-1分泌量變動的情形,其電泳分析條件如前所述。其中Beclin-1係為一種Bcl-2互動蛋白,主要作用在促進細胞自噬作用。如圖所示,AGS細胞在感染幽門螺旋桿菌後降低了Beclin-1的表現量,但在使用兒茶素及唾液酸後,Beclin-1的表現量增加,顯示其促進了Beclin-1依賴性細胞自噬作用(Beclin-1-dependent autophagy)。Referring to Fig. 3, it is shown that the amount of autophagy-related protein Beclin-1 is changed in the case where AGS cells are infected with Helicobacter pylori (HP) for 4 hours, using catechin (C) and sialic acid (S). In the case, the electrophoresis analysis conditions are as described above. Among them, Beclin-1 is a Bcl-2 interacting protein, which plays a role in promoting autophagy. As shown in the figure, AGS cells reduced the expression of Beclin-1 after infection with H. pylori, but the expression of Beclin-1 increased after the use of catechin and sialic acid, indicating that it promoted Beclin-1 dependence. Autophagy (Beclin-1-dependent autophagy).
接著,以螢光顯微鏡觀察AGS細胞在感染幽門螺旋桿菌(HP)4小時後,使用兒茶素(C)及唾液酸(S)之細胞型態的變化。將自體吞噬泡(autophagic vacuoles)以0.05mmol/L的monodansylcadaverine(MDC)三重複標定。在標定完畢後,以PBS清洗4次並立刻以4%三聚甲醛(Paraformaldehyde)固定,並置於螢光顯微鏡下觀察(Leica model DMRD)。而幽門螺旋桿菌誘導AGS細胞之細胞凋亡係以末端脫氧核苷酸轉移酶介導缺口末端標記法(terminal deoxynucleotidyl transcferase mediated nick end labeling)進行評估。Next, changes in the cell type of catechin (C) and sialic acid (S) were observed after 4 hours of infection with H. pylori (HP) by AGS cells by a fluorescence microscope. Autophagic vacuoles were calibrated with a triple repeat of 0.05 mmol/L monodansylcadaverine (MDC). After the calibration, it was washed 4 times with PBS and immediately fixed with 4% paraformaldehyde and placed under a fluorescent microscope (Leica model DMRD). The apoptosis of AGS cells induced by H. pylori was evaluated by terminal deoxynucleotidyl transcferase mediated nick end labeling.
結果參閱第4A~4L圖,係顯示AGS細胞在感染幽門螺旋桿菌(HP)4小時後,使用兒茶素(C)及唾液酸(S)的情況下,發生型態改變、細胞凋亡及細胞自噬的情形,第4A~4D圖係為未染色情況下以相位差顯微鏡觀察之影像,而第4E~4H圖係以末端脫氧核苷酸轉移酶介導缺口末端標記法染色之結果,而第4I~4L圖係以0.05nM MDC染色之結果。The results are shown in Figures 4A to 4L. It shows that AGS cells undergo type change, apoptosis and catechin (C) and sialic acid (S) after 4 hours of infection with Helicobacter pylori (HP). In the case of autophagy, the 4A~4D images are images observed by phase contrast microscopy in the absence of staining, and the 4E~4H images are stained by the terminal deoxynucleotidyl transferase-mediated nick end labeling. The 4I~4L images were stained with 0.05 nM MDC.
第4A、4E、4I圖係分別為完整的AGS細胞之型態、無細胞凋亡的情形以及具有輕微細胞自噬作用的現象。而如第4B、4F及4J圖所示,在感染幽門螺旋桿菌後發生型態上的改變、細胞凋亡的形成及細胞自噬受到抑制的情形。若合併使用兒茶素和唾液酸治療,則可保持AGS細胞的型態,抑制凋亡,維持自噬作用,如4C、4G及4K圖所示。若在未感染幽門螺旋桿菌的細胞中,結合使用兒茶素及唾液酸並不會損害細胞,如第4D、4H及4L圖所示。The 4A, 4E, and 4I maps are the type of intact AGS cells, the absence of apoptosis, and the phenomenon of mild autophagy. As shown in Figures 4B, 4F, and 4J, changes in morphology, formation of apoptosis, and inhibition of autophagy are observed after infection with H. pylori. If combined with catechin and sialic acid treatment, it can maintain the shape of AGS cells, inhibit apoptosis, and maintain autophagy, as shown in 4C, 4G and 4K. In the cells that are not infected with H. pylori, the combination of catechin and sialic acid does not damage the cells, as shown in Figures 4D, 4H and 4L.
以5週大的BALB/c小鼠(提供自國家實驗動物中心),並在國立台灣大學動物實驗中心恆溫環境下生長。小鼠飼料(20.5%蛋白質、18.5%脂肪、53%碳水化合物、2.7%纖維素、4.8%礦物質)及任意量之飲水。其中所有手術及實驗程序均經過台灣大學之動物人道關懷委員會許可,並符合國科會之操作說明。The 5-week-old BALB/c mice (provided from the National Experimental Animal Center) were grown at a constant temperature in the National Taiwan University Animal Experimental Center. Mouse feed (20.5% protein, 18.5% fat, 53% carbohydrate, 2.7% cellulose, 4.8% mineral) and any amount of drinking water. All of the procedures and experimental procedures were approved by the Animal Humanitarian Care Committee of the National Taiwan University and in accordance with the instructions of the National Science Council.
將40隻受到幽門螺旋桿菌感染之小鼠以每組10隻分成4組。以TA1作為感染的小鼠。將菌落轉移至Brucella broth加上5%的胎牛血清,1%的VitaleX及抗生素(48小時),之後將菌量濃度調整至1011 CFU/L。將各組的小鼠連續兩天經口腔注入0.5mL之菌液。對照組則是注入蒸餾水。需要前處理的小鼠則在經口腔注入幽門螺旋桿菌前,先餵以0.5ml含有128mg/L之兒茶素及32mg/L之唾液酸之蒸餾水(72小時前),然後再自由攝取含有128mg/L之兒茶素及32mg/L之唾液酸之1%葡萄糖水(連續3天)。而後處理的組別則在感染後兩週餵以含有128mg/L之兒茶素及32mg/L之唾液酸之蒸餾水0.5ml(在以幽門螺旋桿菌感染2週後),然後再自由攝取含有128mg/L之兒茶素及32mg/L之唾液酸之1%葡萄糖水(連續5天)。而感染幽門螺旋桿菌之控制組別則是在感染前3天至感染後5天,口服1%葡萄糖水。除了前述之步驟外,其他步驟皆相同。在幽門螺旋桿菌感染4週後,檢測其胃並對切為兩均等份,以進行組織學及微生物學試驗。Forty mice infected with H. pylori were divided into 4 groups in groups of 10 each. TA1 was used as an infected mouse. The colonies were transferred to Brucella broth plus 5% fetal bovine serum, 1% VitaleX and antibiotics (48 hours), after which the bacterial concentration was adjusted to 10 11 CFU/L. Each group of mice was orally infused with 0.5 mL of bacterial solution for two consecutive days. In the control group, distilled water was injected. Mice that require pretreatment are given 0.5 ml of distilled water containing 128 mg/L catechin and 32 mg/L sialic acid (72 hours ago) before injecting H. pylori into the mouth, and then freely ingesting 128 mg. / L catechin and 32 mg / L of sialic acid 1% glucose water (for 3 consecutive days). The post-treated group was fed with 0.5 ml of distilled water containing 128 mg/L catechin and 32 mg/L sialic acid two weeks after infection (after 2 weeks of infection with H. pylori), and then freely ingested with 128 mg. / L catechin and 32 mg / L of sialic acid 1% glucose water (for 5 consecutive days). The control group infected with Helicobacter pylori was orally administered with 1% glucose water from 3 days before infection to 5 days after infection. Except for the steps described above, the other steps are the same. Four weeks after H. pylori infection, the stomach was examined and cut into two equal portions for histological and microbiological tests.
其中組織染色方法係利用3-硝基酪胺酸(3-nitrotyrosine 3-NT)及4-羥基壬烯酸(4-hydroxynonenal 4-HNE)在幽門螺旋桿菌感染組織之原位顯示,亦即以3-NT及4-HNE對石蠟包埋部位進行免疫染色。在4℃下以兔抗硝基酪胺酸IgG抗體(NITT12-A)或兔抗硝基酪胺酸抗體(NNE11-S)靜置整夜(兩種皆購自Alpha diagnostic,以1:50比例稀釋於PBS中)。以抗生物素-過氧化物酶複合物法之套組(ABC Elite,Vector Laboratories)進行染色。將染色之部位以二氨基聯苯胺四鹽酸鹽(diaminobenzidine tetrahydrochloride)顯示其結果,並以蘇木素(Hematoxylin)進行複染。The tissue staining method uses 3-nitrotyrosine 3-NT and 4-hydroxynonenal 4-HNE to display in situ in the H. pylori-infected tissue, that is, Immunostaining of paraffin-embedded parts was performed by 3-NT and 4-HNE. Rabbit anti-nitrotyrosine IgG antibody (NITT12-A) or rabbit anti-nitrotyrosine antibody (NNE11-S) was allowed to stand overnight at 4 °C (both purchased from Alpha Diagnostics at 1:50) Dilute in PBS). Staining was performed in a kit of avidin-peroxidase complex method (ABC Elite, Vector Laboratories). The stained site was visualized with diaminobenzidine tetrahydrochloride and counterstained with Hematoxylin.
在經由3-5天的培養後即可經由前述之組織染色及微生物學試驗結果確認是否感染幽門螺旋桿菌,其胃炎程度係經由病理學家進行區分,並在微生物學培養後可算出菌體數量(CFU/L)。另外,幽門螺旋桿菌的存在則可利用PCR進行確認。After 3-5 days of culture, it is possible to confirm whether or not H. pylori infection is caused by the above-mentioned tissue staining and microbiological test results, the degree of gastritis is distinguished by a pathologist, and the number of cells can be calculated after microbiology culture. (CFU/L). In addition, the presence of H. pylori can be confirmed by PCR.
參閱表3,係顯示感染幽門螺旋桿菌之BALB/c小鼠有無合併使用兒茶素及唾液酸之效果。從表中結果可知,所有幽門螺旋桿菌之感染控制組皆成功地受到感染,其胃黏膜具有顯著的水腫(edema)及出血(hemorrhage)現象。Referring to Table 3, it was shown that BALB/c mice infected with H. pylori had the effect of combining catechin and sialic acid. From the results in the table, all the infection control groups of H. pylori were successfully infected, and the gastric mucosa had significant edema and hemorrhage.
同時參閱第5A~5N圖,係顯示BALB/c小鼠在感染幽門螺旋桿菌後之胃部病理切片分析。以顯微鏡觀察,可看到顯著的胃炎現象,伴隨著許多單核細胞及嗜中性白血球浸滲(infiltration)的現象,如第5F~5H圖所示。其中第5F圖顯示胃黏膜及黏膜下層之發炎現象(H&E染色,100倍),第5G圖顯示在感染後產生胃黏膜破壞之情形(H&E染色,400倍),第5H圖顯示在感染後多重性嗜中性白血球聚集及微膿腫之情形(H&E染色,400倍)。而其平均胃炎計分為2.0(參表3)。At the same time, refer to the 5A~5N figure, which shows the pathological section analysis of the stomach of BALB/c mice after infection with Helicobacter pylori. Observed by microscopy, significant gastritis can be seen, accompanied by many monocytes and neutrophil infiltration phenomena, as shown in Figures 5F-5H. Figure 5F shows inflammation of the gastric mucosa and submucosa (H&E staining, 100 times), Figure 5G shows gastric mucosal destruction after infection (H&E staining, 400 times), and Figure 5H shows multiple infections after infection. Sexual neutrophil aggregation and microabscess (H&E staining, 400 times). The average gastritis score is 2.0 (see Table 3).
在經過兒茶素及唾液酸進行前處理(pretreated)的組別中,由於未受到幽門螺旋桿菌感染,故沒有觀察到胃粘膜病變,僅從切片結果中看到極小的組織型態變化(參第5C~5D圖),而其平均胃炎計分為0.3(參表3),相同於僅服用蒸餾水而未受到幽門螺旋桿菌感染的組別(參第5A~5B圖)。In the group pretreated with catechin and sialic acid, no gastric mucosal lesions were observed due to infection with H. pylori, and only minimal tissue changes were observed from the section results. Fig. 5C~5D), and the average gastritis score is 0.3 (see Table 3), which is the same as the group that only takes distilled water and is not infected with H. pylori (see Figures 5A-5B).
參第5E圖,係顯示在經過兒茶素及唾液酸進行後處理(post-treated),開始修補螺旋幽門螺旋桿菌造成的胃部損傷的現象(H&E染色,100倍)。約有20%的小鼠根除了幽門螺旋桿菌感染。雖然大部份未消除幽門螺旋桿菌感染現象之小鼠仍有胃粘膜病變的情形,但其平均胃炎計分降低至0.8(和受感染的組別相比)。未感染、前處理、後處理之組別與受感染的控制組相比具有顯著的差異(各組別的p<0.01)。Fig. 5E shows the phenomenon of post-treatment of Helicobacter pylori (H&E staining, 100-fold) after post-treatment with catechin and sialic acid. About 20% of mice have been infected with H. pylori infection. Although most of the mice that did not eliminate H. pylori infection still had gastric mucosal lesions, the average gastritis score was reduced to 0.8 (compared to the infected group). The uninfected, pretreated, and posttreated groups were significantly different from the infected control group (p < 0.01 for each group).
參第5I~5N圖,第5I~5K圖為氧化3-NT染色(棕色)在近端胃黏膜之呈色反應,其中第5I圖為未感染控制組,第5J圖為受感染組,第5K圖為前處理組。而第5L~5N圖為氧化4-HNE染色(棕色)在近端胃黏膜之呈色反應,第5L圖為未感染控制組,第5M圖為受感染組,第5N圖為前處理組。首先,從第5I~5K圖中結果可看出,未感染控制組(參第5I圖)為藍色無氧化,感染幽門螺旋桿菌(參第5J圖)明顯棕色,用兒茶素及唾液酸做感染前處理(參第5K圖)之組別同樣為藍色無氧化。接著,從第5L~5N圖中結果可看出,控制組(參第5L圖)為藍色無氧化,感染幽門螺旋桿菌(參第5M圖)明顯棕色,與利用兒茶素及唾液酸做感染前處理之組別為藍色無氧化(參第5N圖)。簡而言之,在受感染小鼠之胃部近側可觀察到累積有3-NT及4-HNE的加合物,並且其累積量遠高於以兒茶素及唾液酸進行前處理的組別。Refer to the 5I~5N map, the 5I~5K picture shows the color reaction of oxidative 3-NT staining (brown) in the proximal gastric mucosa, wherein the 5I picture is the uninfected control group, and the 5th picture is the infected group, The 5K picture is the pre-processing group. The 5L~5N picture shows the color reaction of oxidized 4-HNE staining (brown) in the proximal gastric mucosa, the 5th picture shows the uninfected control group, the 5th picture shows the infected group, and the 5th picture shows the pretreatment group. First, from the results in the 5I~5K chart, the uninfected control group (see Figure 5I) is blue without oxidation, and infected with Helicobacter pylori (see Figure 5J) is obviously brown, with catechin and sialic acid. The group that did the pre-infection treatment (see Figure 5K) was also blue without oxidation. Next, from the results of the 5L~5N map, the control group (see Figure 5L) is blue without oxidation, and infected with Helicobacter pylori (see Figure 5M) is obviously brown, and is made with catechin and sialic acid. The pre-infection treatment group was blue without oxidation (see Figure 5N). Briefly, 3-NT and 4-HNE-accumulated adducts were observed proximal to the stomach of infected mice, and their accumulation was much higher than that pretreated with catechin and sialic acid. Group.
利用相同於前述之後處理組別(post-treated)之步驟,以測試不同濃度的兒茶素/唾液酸在治療幽門螺旋桿菌感染的效果。將60隻小鼠分為3組分別進行後處理[以相同劑量(1STD)或2、5倍劑量(2、5STD)]。另外10隻小鼠作為感染的控制組(none-treatment;NT)。每組的治癒率係在進行兒茶素/唾液酸之後處理後4週進行評估。The same procedure as described above for post-treatment was used to test the effect of different concentrations of catechin/sialic acid in the treatment of H. pylori infection. Sixty mice were divided into three groups for post-treatment [at the same dose (1 STD) or 2, 5-fold dose (2, 5 STD)]. Another 10 mice served as control group for infection (none-treatment; NT). The cure rate for each group was evaluated 4 weeks after treatment with catechin/sialic acid.
在未以兒茶素及唾液酸做感染後處理之組別中幽門螺旋桿菌之根除比率為0%,以1倍標準劑量(128mg/L的兒茶素及32mg/L的唾液酸)處理的組別中幽門螺旋桿菌之根除比率為20%,以2倍劑量處理的組別中幽門螺旋桿菌之根除比率為30%,以5倍劑量處理的組別中幽門螺旋桿菌之根除比率為60%(如第6圖)。此種對根除比率之劑量依賴的效果具有統計上之意義(p<0.01),且每增加1倍標準劑量其勝算比(Odds Ratio,OR)=1.695。The eradication rate of H. pylori in the group treated with catechin and sialic acid after infection was 0%, treated with 1 standard dose (128 mg/L catechin and 32 mg/L sialic acid) The eradication rate of H. pylori in the group was 20%, the eradication rate of H. pylori in the group treated with 2 times the dose was 30%, and the eradication rate of H. pylori in the group treated at 5 times was 60%. (as shown in Figure 6). This dose-dependent effect on eradication ratio was statistically significant (p < 0.01), and the Odds Ratio (OR) = 1.695 for each additional standard dose.
由前述的說明以及各實施例中可知,本發明兒茶素及唾液酸組合物對於幽門螺旋桿菌感染的預防能達到100%完全抑制,而且對於感染後的治療可達60%的根除率,可證明含有兒茶素及唾液酸之組成物對於抗幽門桿菌具有顯著之療效。前述方法僅為實施例,並不用以限制本發明之範圍。It can be seen from the foregoing description and the examples that the catechin and sialic acid compositions of the present invention can achieve 100% complete inhibition of Helicobacter pylori infection and up to 60% eradication rate after infection treatment. It is proved that the composition containing catechin and sialic acid has a remarkable effect on anti-Helicobacter pylori. The foregoing methods are merely examples and are not intended to limit the scope of the invention.
第1A~1D圖係分別顯示AGS細胞在感染或未感染幽門螺旋桿菌(HP)4小時後,使用兒茶素(C)及唾液酸(S)的情況下,O2 - 、H2 O2 、NO及iNOS的變化;Figures 1A to 1D show O 2 - , H 2 O 2 in the case of AGS cells using catechin (C) and sialic acid (S) 4 hours after infection or uninfected with Helicobacter pylori (HP), respectively. , NO and iNOS changes;
第2A~2B圖係分別顯示AGS細胞在感染或未感染幽門螺旋桿菌(HP)4小時後,使用兒茶素(C)及唾液酸(S)的情況下,細胞凋亡相關蛋白質的表現量;Figures 2A to 2B show the expression of apoptosis-related proteins in the case of AGS cells using catechin (C) and sialic acid (S) 4 hours after infection or uninfected with Helicobacter pylori (HP). ;
第3圖係顯示AGS細胞在感染或未感染幽門螺旋桿菌(HP)4小時後,使用兒茶素(C)及唾液酸(S)的情況下,細胞自噬相關蛋白Beclin-1的表現量;Figure 3 shows the expression of autophagy-associated protein Beclin-1 in the case of AGS cells treated with catechin (C) and sialic acid (S) 4 hours after infection or uninfected with Helicobacter pylori (HP). ;
第4A~4L圖係為AGS細胞在感染或未感染幽門螺旋桿菌(HP)4小時後,使用兒茶素(C)及唾液酸(S)的情況下,發生型態改變、細胞凋亡及細胞自噬的情形;The 4A~4L map shows the type change, apoptosis and the use of catechin (C) and sialic acid (S) after 4 hours of infection or uninfection of Helicobacter pylori (HP). The situation of autophagy in cells;
第5A~5N圖,係顯示BALB/c小鼠在感染或未感染幽門螺旋桿菌後之胃部病理切片分析。Figures 5A-5N show the pathological section analysis of the stomach of BALB/c mice after infection or not infection with Helicobacter pylori.
第6圖係使用不同劑量的兒茶素及唾液酸於感染後的BALB/c小鼠,觀察不同劑量組別的清除率。Figure 6 shows the clearance rates of different dose groups using different doses of catechin and sialic acid in infected BALB/c mice.
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